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  1. Hey all, I have been a PA for 9 years now (1yr cardiac sx, 4yrs EM, 4yrs ortho hand) and just took a new position about one year ago in a new specialty. I went from Hand surgery/upper extremity ortho to ENT. I have a good salary and when I started, the bonus structure was TBD as I am their first APP. My position is unique as they wanted a PA to help offload consults and hospital rounds in the afternoon so the on call physician doesn't get stuck doing everything after their day. I typically see patients in the morning and occasionally in the afternoon (only until about 230pm to allow f
  2. hi, yes, sometimes I feel like that, however, I do see patients (although a limited amount) and do see consults in the hospital and perform procedures as necessary...but in the office setting, yes, they want me to be the PA/MA/nurse, etc. they literally pay me to sit on hold and precert my own CT scans that I order. crazy.
  3. I have been there since April of this year. This is a well-established private practice (40yrs old) that is affiliated but not owned by a larger hospital group. Some of the docs in the group know that I feel that I don't have much to do. I have also communicated that to the president of the practice with concerns that I don't think shadowing in the afternoon is a sustainable use of my time. He didn't really address that however, he reiterated how wonderful I am because I am able to see consults when they are on call (making them not have to go see them at the end of their clinic day). Hon
  4. Hourly is nice, but, often in an office type setting that isn't always a specific shift, it can be problematic. question: do you clock in and out? keeping track of hours in a non-shiftwwork (like an ED) type position is kind of exhausting. I did it when I temporarily went part time and it was annoying. At first, I clocked in and out which I hated, but, still had to keep track of hours at different locations, and when going to hospitals, etc. Plus, if there is downtime, being a salaried employee can be beneficial (as long as you are happy with your pay and have a solid bonus structur
  5. thanks for your insight. I guess I am just an overachiever who feels like they have to be busy and have a purpose all day vs. someone who is ok having a lot of downtime at work with nothing to do. I feel my job is secure at this point, however, I do wonder if at some point they will do the numbers and realize I'm not paying for myself. One of the partners said they did not hire me for those reasons, but, when push comes to shove...$$ talks. The partners don't have a clear plan for me...(I keep hearing different ideas from different docs about what they want me to do, etc)with the
  6. I want to bounce this off of you all. I am a PA with 9 years experience in CT surgery, EM, Ortho, and Hand surgery. I took a new position with ENT close to home about 6 months ago because I needed a shorter commute. Everything seemed great when I took the position, however, I have some issues. They are a male dominated super conservative practice who have never had an APP. 1. I am their first PA and they don't seem to know how to effectively utilize me despite my suggestions. They mainly hired a PA because they want me 'available' in the afternoon to see consults at our 4 hospitals
  7. Thank you for the response. The new practice is getting me established with payers. I think I will recommend to just bill under my name. It just seems like the most direct way and there is no question if it's right or wrong. As for the other practice, I don't think I was committing fraud because I was actually seeing every patient with the physician....hence why I left. They didn't utilize PAs appropriately.
  8. Hello, I just joined an otolaryngology practice and I am their first PA. I have been in practice for 9 years, but, embarrassingly enough, I have limited knowledge of billing. My previous ortho practice did not share any information about billing and basically, all of my dictations had to say "I am dictating as a scribe on behalf of Dr. Soandso." I had minimal autonomy and had no access to any collections and never had my own clinic. My experience prior to that was working in the ED for a large public university and we never really talked about collections or billing. With this new prac
  9. Hey, does anyone know what the specific regulations are for KY with regards to this language in the statutes: 'A physician assistant shall not submit direct billing for medical services and procedures performed by the physician assistant.' I'm the first PA in a moderately sized ENT group and the biller has questions pertaining to that statement. Do I always have to be billed under the physician? I will be running my own clinic when I'm trained...do they always have to bill under the docs? Also, does anyone know what percentage of charts need to be signed by the SP? The language i
  10. I got the job and desired salary for my location. I used AAPA salary report. starting 105k plus bonus, annual review with expected increase depending on how i'm doing, 1800k a year for cell reimbursement, fully paid licensure, CME, DEA. Overall, I'm pretty happy with it. As I gain experience in ENT, I hope to steadily increase my salary over time. Thanks everyone for your thoughts.
  11. This is a GREAT post. Should be sent to all soon-to-be graduates at PA schools!
  12. Thanks everyone!! This is a fantastic set of responses and I will print them out to keep for later. I read some of this info after I had already replied to the HR email....however, I stood my ground and asked for $110k. I was pretty general about my past compensation history. I am the first PA they will have had (hopefully...if I get the job). She called back and asked other questions such as my typical weeks vacation, past CME, etc. I really think they are trying to put together a package and dont know where to start. The salary I asked for would be a huge jump for me and I feel it is
  13. gosh, I'm underpaid. I knew I was...but, I haven't found anything better. I'm in Northern KY and Southern OH. I'm hesitant to respond to the email with my current salary because it is so low (given my circumstances)! I don't like that they asked for my salary history...but, this is the first PA the group has hired. I just don't want to answer that question.
  14. Hello, In salary negotiations, do you specifically give a salary expectation and salary history or wait for them to give you an offer? I am a PA who has 8 (almost 9!) years of experience in Emergency Medicine, limited CT surgery, and most recently, upper extremity Ortho and Hand. I have had 2 interviews and shadowed with a private ENT/allergy practice with 8 ENTs who are very interested in hiring a PA (not NP..yay!) for the first time. They want someone who has experience with procedures, rounding in hospital, seeing consults, but not necessarily for OR, which is fine with me. Th
  15. These posts are awesome.....and helpful. I am 8 years in practice, the first 4 in EM (which were great and I was truly respected), and the last 4 in ortho (made a hasty switch to get out of nights and weekends) where unfortunately, I fall into a number of these categories. My gut has been telling me it's not right for years, I just haven't found the right fit elsewhere (currently pregnant but looking)! This board has been quite helpful and I am almost ashamed to say that I have put up with some of those bullets for a long time, knowing it was BS, but afraid to make a change. I am coming
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